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WONEP Neonatal Network Cardiology Study Day
Registration Page
1.
Please enter your name as it would appear on your certificate
2.
My email address is
3.
I work at
4.
My designation is
Consultant Neonatologist
Neonatal Grid Trainee
Neonatal Nurse
Consultant Paediatrician
Consultant Obstetrician
Midwife
ST1-4 Paediatrics
ST4-8 Paediatrics
ANNP
MTI Fellow
Other (please specify)
5.
I want to attend this study day because
6.
I am
Non-vegetarian
Vegetarian
Vegan
Special Requirements (please specify)
*
7.
I have sent a cheque payable for 30 pounds in favor of SCBU charity (Address Amanda Binns Level E Princess Anne Hospital Southampton SO16 5YA) Yes or No
(Required.)
8.
Would you like to hear about future courses?
Yes
No
